DR. NICOLE JIMENEZ MD NPI 1497334171

NPI Information

  • NPI: 1497334171
  • Provider Name: DR. NICOLE JIMENEZ, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 65 RILEY RD
    KISSIMMEE, FL
    ZIP 34747
  • Phone: (407) 635-3022

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NPI Details

DR. Nicole Jimenez, MD is a family medicine in Kissimmee, FL with 5 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Nicole Jimenez, MD NPI is 1497334171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2021

The provider's business location address is:

65 RILEY RD
KISSIMMEE, FL
ZIP 34747-419
Phone: (407) 635-3022
Fax: (321) 230-4669

The NPI 1497334171 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/7/2021 and was last updated on 8/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME165440FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1120414400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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